NPIMap

Organization Active NPI

Capital Area Hudson Valley Ny Dental

  • General Practice Dentistry
  • Brattleboro, VT
National Provider Identifier
1023151982
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CAPITAL AREA HUDSON VALLEY NY DENTAL
Doing business as
1st Advantage Dental
Practice address
80 Flat St
Suite 101
Brattleboro, VT 05301-3272
Phone
(802) 254-6634
Fax
(802) 254-9234
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. G Stephen Knoll, DDS
Title
President
Phone
(518) 587-3831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

80 Flat St
Suite 101
Brattleboro, VT 05301-3272

Mailing address

6 Executive Park Dr
Suite C
Clifton Park, NY 12065-5601
Phone (518) 348-0240

Other names 1

  • 1st Advantage Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capital Area Hudson Valley Ny Dental PC23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

80 Flat St
Ste 101
Brattleboro, VT 05301
Phone (802) 254-6634

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1023151982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EXECUTIVE PARK DR",
            "address_2": "SUITE C",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655601",
            "telephone_number": "518-348-0240",
            "fax_number": "518-348-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FLAT ST",
            "address_2": "SUITE 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053013272",
            "telephone_number": "802-254-6634",
            "fax_number": "802-254-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL AREA HUDSON VALLEY NY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-587-3831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Advantage Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.